NPI age
7 years
Enumerated 2019-04-23
● Active
Type 1 · Individual
MISS Ileha M Clark
Clark is 1 of 1 program of all-inclusive care for the elderly (pace) provider organization providers in MacOn and 1 of 5 in Georgia.
Primary specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 5 active program of all-inclusive care for the elderly (pace) provider organization providers in Georgia.
NPI age
7 years
↓ 6 yr below median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Practice location
152 New St Ste 103m
MacOn, GA 312017304
Mailing address
152 New St Ste 103m
MacOn, GA 312017304
Specialties
-
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization PrimaryA PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social...
-
Chore ProviderAn individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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